Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.33 / $21.34 / $79.20	Facility	26	$21.33	$21.34	$79.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $89.22 / $330.40	Professional		$45.07	$89.22	$330.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $28.26 / $77.83	Professional	26	$21.34	$28.26	$77.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $51.35 / $140.91	Professional	TC	$23.73	$51.35	$140.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $65.06 / $200.24 / $251.68	Facility	26	$65.06	$200.24	$251.68
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $147.97 / $659.39	Professional		$91.07	$147.97	$659.39
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $39.34 / $173.89	Professional	26	$24.38	$39.34	$173.89
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $67.70 / $109.75 / $485.50	Professional	TC	$67.70	$109.75	$485.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $52.34 / $69.56	Professional	26	$37.29	$52.34	$69.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.05 / $158.66 / $210.86	Professional	TC	$113.05	$158.66	$210.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $165.97 / $330.74	Professional		$104.01	$165.97	$330.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.48 / $39.68 / $83.14	Professional	26	$27.48	$39.68	$83.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.69 / $124.72 / $248.75	Professional	TC	$73.69	$124.72	$248.75
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $111.22 / $191.96	Professional		$35.18	$111.22	$191.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $247.42 / $327.78	Professional		$125.34	$247.42	$327.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $66.98 / $87.84	Professional	26	$33.59	$66.98	$87.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $91.75 / $181.89 / $239.94	Professional	TC	$91.75	$181.89	$239.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $60.00 / $179.07	Professional		$38.38	$60.00	$179.07
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $200.24 / $251.68 / $251.68	Facility	26	$200.24	$251.68	$251.68
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $147.97 / $659.39	Professional		$96.58	$147.97	$659.39
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $27.31 / $39.97 / $173.89	Professional	26	$27.31	$39.97	$173.89
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $70.31 / $112.96 / $485.50	Professional	TC	$70.31	$112.96	$485.50
United Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $140.38 / $277.63	Professional		$94.37	$140.38	$277.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $38.22 / $85.25	Professional	26	$26.26	$38.22	$85.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.95 / $102.21 / $228.51	Professional	TC	$69.95	$102.21	$228.51